Introduction: To assess the feasibility of single-incision laparoscopic
surgery (SILS) in some urological surgeries.
and Methods: This prospective study was conducted on
40 patients (27 males and 13 females) from January 2010 to
June 2011. Six procedures were done, SILS renal cyst decortication
(n = 10), SILS varicocelectomy (n = 10), SILS orchiopexy
(n = 10), SILS nephrectomy (n = 3), SILS pyelolithtomy
(n = 6) and SILS adrenalectomy (n = 1).
complications included ileus (10%) and fever (10%) in
SILS renal cyst ablation. SILS varicocelectomy had postoperative
sequalae as persistent varicocele (10%) and hydrocele
(10%). SILS orchiopexy was also done with a success
rate 100% in this series. SILS pyelolithotomy was successfully
done in 5 out of 6 patients and only 1 patient was converted
to conventional laparoscopy. In SILS nephrectomy 1 patient
out of 3 was converted to conventional laparoscopy.
SILS in urology has proven to be safe and feasible in the
hands of experienced laparoscopic surgeons, using specially
designed ports and instruments in selected patients.